By clicking the submit button below and/or submitting a printed copy of this application, I certify that the facts and information contained in this application are true and complete to the best of my knowledge and understand that, if hired, falsified statements shall be grounds for dismissal. I authorize investigation of all statements contained herein, and the references and employers listed above to give any and all information concerning my previous employment and pertinent information they may have, personal or otherwise, and release Plates, Inc., from all liability for any damage that may result from utilization of such information. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act and other relevant federal and state laws.